NPIMap

Organization Active NPI

Mackey Vision Center PSC

  • Optometrist
  • Corbin, KY
National Provider Identifier
1033032123
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MACKEY VISION CENTER PSC
Practice address
1230 Cumberland Falls Hwy
Corbin, KY 40701-2717
Phone
(606) 528-1143
Fax
(606) 523-1145
NPI assigned
Aug 4, 2026
Last updated
Aug 4, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MACKEY VISION CENTER PSCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Claude David Elliott Jr.
Title
It & Data Analyst Manager
Phone
(606) 528-1143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1230 Cumberland Falls Hwy
Corbin, KY 40701-2717

Mailing address

PO Box 880
Corbin, KY 40702-0880
Phone (606) 528-1143

Other practice location 1

281 N Commonwealth Ave
Corbin, KY 40701-6438
Phone (606) 528-1143

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mackey Vision Center PSC1230 Cumberland Falls Hwy, Corbin, KY 40701-2717(606) 528-1143 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Aug 28, 2003

National Provider Directory

National Provider Directory
Tax ID family
Mackey Vision Center PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1230 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 528-0138

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1033032123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407020880",
            "telephone_number": "606-528-1143",
            "fax_number": "606-523-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012717",
            "telephone_number": "606-528-1143",
            "fax_number": "606-523-1145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 N Commonwealth Ave",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407016438",
            "country_code": "US",
            "telephone_number": "606-528-1143",
            "fax_number": "606-523-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MACKEY VISION CENTER PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MACKEY VISION CENTER PSC",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "IT & DATA ANALYST MANAGER",
        "authorized_official_telephone_number": "606-528-1143",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.